| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.10 | $57.84 | $124.74 | |
Aetna
| Professional | $44.11 | $44.11 | $44.55 | |
Cigna
| Facility | $42.11 | $50.93 | $65.91 | |
Cigna
| Professional | $44.11 | $44.11 | $44.11 | |
Horizon BCBS
| Facility | $75.91 | $195.21 | $13,785.00 | |
Horizon BCBS
| Professional | $44.46 | $44.49 | $44.79 | |
United
| Professional | $44.11 | $44.11 | $54.05 |